Individual
DR. JOHN ARTHUR PRIMAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1239 N COUNTRY RD, STONY BROOK, NY 11790-1934
(631) 751-0099
(631) 751-2557
Mailing address
1239 N COUNTRY RD, STONY BROOK, NY 11790-1934
(631) 751-0099
(631) 751-2557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
027318
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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